Studies of Error-Proofing in Medication Incidents － A Method of Planning Countermeasures Focused on Improvement Objects －

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  • 与薬事故に対するエラープルーフ化に関する研究 － 改善対象要素に着目した対策立案方法の提案 －
  • ヨヤク ジコ ニ タイスル エラープルーフカ ニ カンスル ケンキュウ : カイゼン タイショウ ヨウソ ニ チャクモク シタ タイサク リツアン ホウホウ ノ テイアン

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Abstract

Incidents during the medication process occur at high rates in most hospitals. Therefore, reducing medical incidents is vital to guarantee healthcare quality. It is an effective countermeasure that improves the working method. In this paper, an error-proofing method is applied to reduce the frequency of such medical incidents. In order to simplify the process of planning error-proofing countermeasures, the following approaches are employed in this study. First, improvement objects are extracted in order to planning error-proofing countermeasures. Second, the extraction set of improvement objects are designed for extracting the improvement objects which caused the error-factors. Third, the appropriate error-proofing solutions are adapted to each improvement objects. Using this method, "what is the improvement objects" and "how to apply error-proofing solutions" can be easily identified and error-proofing countermeasures can become easily. Additionally, this paper presents the results of the application of the proposed method in hospitals. In conclusion, the proposed procedure can facilitate the planning of error-proofing countermeasures and can reduce the medical incidents.

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